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Joan and Eleanor,

Hallucinations certainly can be brought on by Sinemet and agoinsts used to
treat
PD.  There is no specific age or time that they come after the diagnosis.  I
have seen hallucinations in young  people in their 40's shortly after being
started on Sinemet and know people who have gone 20 years on high dose
medications without them.  -----

It is a balancing act between the adverse reactions and the theraputic
effects of PD meds and the meds used to treat psychosis such as respiridole
can have  a detrimental effect on PD.  Respiridole is one of the "new
generation" antipsychotics which supposedly have less parkinsonian sid
effects.  I  have seen them however with this drug.  I would rather a PD
patient of mine be taking one of the other "new generation" antipsychotics
like Zyprexa or Clozaril  (which has some other significant side effects).

With the start or increase in Respiridol has there been an increase in PD
symptoms?

A psychiatrist familliar with PD patients is probably your best resource.

Charlie

Original Message -----
From: Eleanor Noone <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, November 18, 1999 12:36 AM
Subject: Re: behaviour and symptoms - re-post


> Joan--My Mom has hallucinations brought on by Sinemet.  We learned at a
> support group meeting that the hallucinations come after seven or eight
years
> on Sinemet.  She is now on Sinemet CR--minimum dose possible--and
Resperidal
> for the hallucinations and confusion.  The Resperidal worked for a while,
but
> doesn't seem to be helping as much now.  I can give her a half a tablet
more
> sometimes, but her doctor says that it won't get any better.  I'm not
trying
> to frighten you.  I just wish someone had told us what to expect.  Hope
this
> answers your question or at least gives you something you can ask your
Mom's
> doctor about.  Eleanor